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JOHN LONG PA
NPI 1043028418
Physician Assistant in Lakeland, FL

Active since December 18, 2024PECOS EnrolledAccepts Medicare Assignment
2000 E EDGEWOOD DR STE 112, LAKELAND, FL 33803(863) 666-3436(863) 667-3550 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About John Long Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN LONG PA (NPI 1043028418) is an individual physician assistant in Lakeland, Florida, licensed in Florida (1218517) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043028418
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN LONGCredential: PA
Location Address2000 E EDGEWOOD DR STE 112Lakeland, FL 33803-3639
Mailing Address2000 E Edgewood Dr Ste 112Lakeland, FL 33803-3639 · (863) 666-3436 · Fax (863) 667-3550
Phone(863) 666-3436
Fax(863) 667-3550
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2024
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1043028418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 1218517
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2000 E EDGEWOOD DR STE 112, Lakeland, FL 33803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Long Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416479092
PECOS Enrollment IDI20250324002585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLUKEMI O. FAJOLU M.D.
Orthopaedic Surgery (Hand Surgery)
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
CHRISTINE H CHRISTENSEN APRN
Nurse Practitioner (Family)
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
LAKELAND REGIONAL HEALTH SYSTEM, INC.
Orthopaedic Surgery
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
MICHELLE LANDON GIAMPOALA APRN
Nurse Practitioner
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
JESSICA LYNN HAMILTON PA
Physician Assistant
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
KELLY KRIEGER ROBERTS ARNP
Nurse Practitioner (Adult Health)
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
TIMOTHY EVANS MD
Orthopaedic Surgery
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Long's NPI number?

The NPI number for John Long is 1043028418. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is John Long located?

John Long practices at 2000 E Edgewood Dr Ste 112, Lakeland, FL 33803. The listed phone number is (863) 666-3436.

What is John Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Long enrolled in Medicare?

Yes. John Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Long accept?

Health plans from AvMed list John Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Long affiliated with any hospitals?

According to CMS data, John Long is affiliated with Adventhealth Sebring and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Long was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.